Individual
DR. JACKSON PATRICK CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
501 S WASHINGTON AVE, SCRANTON, PA 18505-3814
(484) 390-2630
Mailing address
501 S WASHINGTON AVE, SCRANTON, PA 18505-3814
(484) 390-2630
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19922448260
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2022
Last updated
05/03/2023
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